Was going to hold off on comments until I finished the book, but I came across some statistics in the first chapter that were very surprising to me.
“Our results showed that nearly 60% of patients with schizophrenia, about 25% of those with schizoaffective disorder, and nearly 50% of subjects with manic depression [bipolar disorder] were unaware of being ill.”
I’m a little shocked at how low the numbers for SZA are. I knew that SZA was associated with better outcomes compared to SZ, but I didn’t know that bipolar disorder was associated with anosognosia levels as high as these. Not sure what the methodology of the studies were, measurements could be at times of hospitalization. My experience is people in a manic state feel too ‘high’ to think anything is wrong, but this can change after they ‘crash’.
Anyway this could explain a lot about my level of insight and why my brother with bipolar disorder doesn’t do quite as well with his disease.